Lyon, Deborah Lee

Lyon, Deborah Lee is an individual health care provider with primary practice located at 115 Georgia Ave , Providence RI 02905-4422. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Lyon, Deborah Lee can be contacted via phone (401) 444-5485.

Contact Information

Primary practice address
115 Georgia Ave Providence RI 02905-4422
Phone: (401) 444-5485
Fax: (401) 444-6212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD00060 Rhode Island
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 249 Massachusetts

Profile Details

NPI number 1902975451
LBN Legal business name Lyon, Deborah Lee
Credentials AU.D, CCC/A, F-AAA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Aug 14th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902975451 NPPES
Massachusetts MEDICAID 5100020

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